Frog Pond Early Learning Center

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, outside, were maintained in a clean, safe and operable condition. Evidence: There were three tricycles on the playground that were rusted. One tricycle's seat had peeling plastic. One tricycle had broken plastic pieces with sharp edges.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, outside, were maintained in a clean, safe and operable condition. Evidence: There were three tricycles on the playground that were rusted. One tricycle's seat had peeling plastic. One tricycle had broken plastic pieces with sharp edges.”

8VAC20-780-160-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Based on record review, the center failed to obtain documentation of a negative tuberculosis (TB) screening for 2 out of 2 staff members at the time of employment. Evidence: 1. Staff #1?s (start date: 12/04/2023) documentation of a TB screening was dated 12/07/2023. 2. Staff #2?s (start date: 11/15/2023) documentation of a TB screening was dated 11/16/2023.”

8VAC20-770-60-B

“REPEAT VIOLATION Based on record review, 1 out of 2 employees of the center was employed before the center had the person’s completed sworn statement. Evidence: At the time of record review, Staff #1 (start date: 12/04/2023) did not have a sworn disclosure statement on file. Staff #1 completed their Sworn Disclosure during the inspection.”

22.1-289.035-B-4

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Based on record review, the center failed to obtain a copy of the results of a criminal history record check prior to the first day of employment for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1?s (start date: 12/04/2023) indicates that they resided out of state in the preceding five years. 2. Staff #1?s record does not contain results of an out-of-state criminal history record check.”

8VAC20-780-290-A-3

“REPEAT VIOLATION Based on observation, electrical outlets did not have protective covers. Evidence: There were three outlets uncovered and within reach of children in the Green Dragonflies classroom.”

8VAC20-770-60-B

“Based on record review, an employee of the center was employed before the center had the person’s completed sworn statement. Evidence: Staff #2 (start date 09/04/2023) did not have a sworn disclosure statement on file.”

22.1-289.036-B-2

“Based on record review, the center failed to obtain fingerprinting results for a staff member every five years. Evidence: Staff #5?s most recent fingerprinting results was dated 04/23/2018.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review and staff interview, the center failed to obtain a copy of the results of a criminal history record check prior to the first day of employment and results of a child abuse and neglect search by the end of the 30th day of employment for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #4 confirmed that Staff #2 (start date: 09/04/2023) resided out of state in the preceding five years. 2. Staff #2?s record does not contain results of an out-of-state criminal history record check or results of an out-of-state child abuse and neglect search.”

8VAC20-780-70

“REPEAT VIOLATION/ SYSTEMIC DEFIENCY Based on record review, the center failed to obtain all information for 5 out of 6 staff records. Evidence: 1. Staff #1?s (start date: 05/12/2023) record did not contain documentation that two or more references were checked before employment. 2. Staff #2?s (start date: 09/04/2023) did not contain documentation that two or more references were checked before employment. 3. Staff #3?s (start date: 08/09/2023) record did not contain documentation that two or more references were checked before employment. 4. Staff #4?s (start date: 03/11/2021) record did not contain documentation that two or more references were checked before employment. 5. Staff #6?s (start date: 10/02/2023) did not documentation that two or more references were checked before employment. 6. Staff #3 and Staff #6?s records did not contain a name, address and telephone number of a person to be notified in an emergency.”

8VAC20-780-260-B

“Based on record review and staff interview, the center failed to obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. Evidence: Staff #4 confirmed that the center had not obtained a sanitation inspection.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers. Evidence: 1. There was on outlet uncovered under the fan in the Green Dragonflies classroom. 2. There was one outlet under the whiteboard and two outlets under the teacher board uncovered in the Blue Dragonflies classroom.”

8VAC20-780-350-F

“Based on staff interview, the center failed to develop a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff. Evidence: Staff #4 confirmed that the center had not developed a written policy and procedure on consistency of staff.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to obtain all information for 1 out of 5 children’s records. Evidence: Child #2?s (start date: 07/25/2022) record did not contain an address for emergency contact #1 and #2.”

8VAC20-780-500-B

“Based on observation, disposable diapers were not disposed in a storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches the exterior surface during disposal. Evidence: The bathroom in the Tadpoles classroom contained a battery-operated trash can that is designed to open by waving your hand over it. During the inspection, the trash can was not opening automatically, causing staff to open it manually, by hand.”

8VAC20-780-40-K

“Based on staff interview, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff #4 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-40-I

“Based on staff interview, the center failed to develop written procedures for injury prevention. Evidence: Staff #4 confirmed that the center did not have written procedures for injury prevention.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, not all staff members submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: Staff #3?s (start date: 08/09/2023) documentation of a TB screening was dated 08/16/2023.”

8VAC20-780-510-I

“Based on record review, the center failed to ensure that requirements were met when administering prescription medication. Evidence: 1. A medication administration log indicated that Staff #4 administered a prescription medication to Child #6 on 10/02/2023. 2. There was no written authorization from a parent or guardian for the medication on file. 3. The medication did not have a prescription label.”

8VAC20-780-240-C

“REPEAT VIOLATION Based on record review, the center failed to include all topics for staff orientation training. Evidence: The center’s orientation training did not include prevention of shaken baby syndrome and abusive head trauma or prevention of and response to emergencies due to food and other allergic reactions.”

8VAC20-770-60-B

“Based on record review, an employee of the center was employed before the center had the person’s completed sworn statement. Evidence: Staff #2 (start date 09/04/2023) did not have a sworn disclosure statement on file.”

22.1-289.036-B-2

“Based on record review, the center failed to obtain fingerprinting results for a staff member every five years. Evidence: Staff #5?s most recent fingerprinting results was dated 04/23/2018.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review and staff interview, the center failed to obtain a copy of the results of a criminal history record check prior to the first day of employment and results of a child abuse and neglect search by the end of the 30th day of employment for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #4 confirmed that Staff #2 (start date: 09/04/2023) resided out of state in the preceding five years. 2. Staff #2?s record does not contain results of an out-of-state criminal history record check or results of an out-of-state child abuse and neglect search.”

8VAC20-780-70

“REPEAT VIOLATION/ SYSTEMIC DEFIENCY Based on record review, the center failed to obtain all information for 5 out of 6 staff records. Evidence: 1. Staff #1?s (start date: 05/12/2023) record did not contain documentation that two or more references were checked before employment. 2. Staff #2?s (start date: 09/04/2023) did not contain documentation that two or more references were checked before employment. 3. Staff #3?s (start date: 08/09/2023) record did not contain documentation that two or more references were checked before employment. 4. Staff #4?s (start date: 03/11/2021) record did not contain documentation that two or more references were checked before employment. 5. Staff #6?s (start date: 10/02/2023) did not documentation that two or more references were checked before employment. 6. Staff #3 and Staff #6?s records did not contain a name, address and telephone number of a person to be notified in an emergency.”

8VAC20-780-260-B

“Based on record review and staff interview, the center failed to obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. Evidence: Staff #4 confirmed that the center had not obtained a sanitation inspection.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers. Evidence: 1. There was on outlet uncovered under the fan in the Green Dragonflies classroom. 2. There was one outlet under the whiteboard and two outlets under the teacher board uncovered in the Blue Dragonflies classroom.”

8VAC20-780-350-F

“Based on staff interview, the center failed to develop a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff. Evidence: Staff #4 confirmed that the center had not developed a written policy and procedure on consistency of staff.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to obtain all information for 1 out of 5 children’s records. Evidence: Child #2?s (start date: 07/25/2022) record did not contain an address for emergency contact #1 and #2.”

8VAC20-780-500-B

“Based on observation, disposable diapers were not disposed in a storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches the exterior surface during disposal. Evidence: The bathroom in the Tadpoles classroom contained a battery-operated trash can that is designed to open by waving your hand over it. During the inspection, the trash can was not opening automatically, causing staff to open it manually, by hand.”

8VAC20-780-40-K

“Based on staff interview, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff #4 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-40-I

“Based on staff interview, the center failed to develop written procedures for injury prevention. Evidence: Staff #4 confirmed that the center did not have written procedures for injury prevention.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, not all staff members submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: Staff #3?s (start date: 08/09/2023) documentation of a TB screening was dated 08/16/2023.”

8VAC20-780-510-I

“Based on record review, the center failed to ensure that requirements were met when administering prescription medication. Evidence: 1. A medication administration log indicated that Staff #4 administered a prescription medication to Child #6 on 10/02/2023. 2. There was no written authorization from a parent or guardian for the medication on file. 3. The medication did not have a prescription label.”

8VAC20-780-240-C

“REPEAT VIOLATION Based on record review, the center failed to include all topics for staff orientation training. Evidence: The center’s orientation training did not include prevention of shaken baby syndrome and abusive head trauma or prevention of and response to emergencies due to food and other allergic reactions.”

8VAC20-780-70

“Based on record review, staff records did not contain all information. Not all staff hired after March 1, 1996 had documentation that two or more references were checked before employment. Evidence: 1. Staff #1 (hire date: 01/09/2023) did not have documentation of references on file. 2. Staff #2 (hire date: 01/30/2023) did not have documentation of references on file. 3. Staff #3 (hire date: 12/16/2022) did not have documentation of references on file.”

22.1-289.035-B-4

“Based on record review and interview, the provider did not obtain a copy of the results of a search of the child abuse and neglect registry for a caregiver from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1 (employment date: 01/09/2023) resided in Maryland (MD) in the preceding five years. There was no documentation of a MD central registry finding on file. 2. Staff #1 resided in Washington D.C.in the preceding five years. Staff #4 stated that a search of the child abuse and neglect registry from Washington D.C. had not been requested. 3. Staff #1 did not have the results of a criminal history record information check from Washington D.C. on file. Staff #4 stated that a criminal history record information check from Washington D.C. had not been requested.”

8VAC20-770-60-C-2

“Based on record review and staff interview, two of three staff files did not contain a central registry finding. Evidence: 1. Staff #1 (employment date: 01/09/2023) did not have documentation of a Virginia central registry finding at the time of inspection. 2. Staff #3 (employment date: 12/16/2022) did not have documentation of a Virginia central registry finding at the time of inspection. 3. Staff #4 stated that the request for search of central registry was submitted during the first week of February.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening. Evidence: Staff #3 did not have documentation of a negative TB screening on file.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, outside, were not maintained in a safe and operable condition. Evidence: There was a wire sticking out from the wire fence that surrounds the Nicholson playground.”

8VAC20-780-70

“Based on record review, staff records did not contain all information. Not all staff hired after March 1, 1996 had documentation that two or more references were checked before employment. Evidence: 1. Staff #1 (hire date: 01/09/2023) did not have documentation of references on file. 2. Staff #2 (hire date: 01/30/2023) did not have documentation of references on file. 3. Staff #3 (hire date: 12/16/2022) did not have documentation of references on file.”

22.1-289.035-B-4

“Based on record review and interview, the provider did not obtain a copy of the results of a search of the child abuse and neglect registry for a caregiver from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1 (employment date: 01/09/2023) resided in Maryland (MD) in the preceding five years. There was no documentation of a MD central registry finding on file. 2. Staff #1 resided in Washington D.C.in the preceding five years. Staff #4 stated that a search of the child abuse and neglect registry from Washington D.C. had not been requested. 3. Staff #1 did not have the results of a criminal history record information check from Washington D.C. on file. Staff #4 stated that a criminal history record information check from Washington D.C. had not been requested.”

8VAC20-770-60-C-2

“Based on record review and staff interview, two of three staff files did not contain a central registry finding. Evidence: 1. Staff #1 (employment date: 01/09/2023) did not have documentation of a Virginia central registry finding at the time of inspection. 2. Staff #3 (employment date: 12/16/2022) did not have documentation of a Virginia central registry finding at the time of inspection. 3. Staff #4 stated that the request for search of central registry was submitted during the first week of February.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening. Evidence: Staff #3 did not have documentation of a negative TB screening on file.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, outside, were not maintained in a safe and operable condition. Evidence: There was a wire sticking out from the wire fence that surrounds the Nicholson playground.”

8VAC20-780-270-A Complaint related: Yes

“Based on observation and staff interview, areas and equipment of the center, outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was a rusty pipe located towards the center of the sandbox in the ?Cherry Pink Space.? 2. Staff #1 stated that there is a plan to cut down the pipe, add a rubber top and replenish the sandbox with more sand.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There were multiple areas of chipped paint located on the back wall and under the loft in the Frogs classroom. 2. There was paint peeling on the wall by the sink in the Tadpoles bathroom. 3. There were three loose paver stones in ?The Meadow? that were tripping hazards to the children. 4. There were rotting tree stumps with splintered wood located in ?The Meadow? accessible to children. 5. There was a hole in the grass of the ?The Meadow? creating a tripping hazard to the children. 6. There were loose, rotting tree stumps located in the ?Great Aunt Maple? area.”

8VAC20-780-160-C

“Based on record review and staff interview, staff members did not obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: 1. Staff #1?s most recent TB screening was dated 12/13/2019. 2. Staff #2?s most recent TB screening was dated 07/04/2020. 3. Staff #3?s most recent TB screening was dated 01/11/2020. 4. Staff #4?s most recent TB screening was dated 02/28/2019. 5. Staff #5 stated that the staff were asked to complete new TB screenings by 10/03/2022.”

8VAC20-780-330-E

“Based on observation and staff interview, sandboxes with bottoms which prevent drainage were not covered when not in use. Evidence: 1. The sandbox located in the ?Cherry Pink Space? had a tarp across the sand, but was not completely covered. The sandbox was not in use. 2. The sandbox box located in ?Toad Mountain? was not covered. The sandbox was not in use. 3. Staff #5 stated that the sandbox in ?Cherry Pink Space? and ?Toad Mountain? do not have a way to drain.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: In the Tadpoles bathroom, a spray bottle containing a bleach/water solution was located on an open shelf accessible to children.”

8VAC20-780-270-A Complaint related: Yes

“Based on observation and staff interview, areas and equipment of the center, outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was a rusty pipe located towards the center of the sandbox in the ?Cherry Pink Space.? 2. Staff #1 stated that there is a plan to cut down the pipe, add a rubber top and replenish the sandbox with more sand.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There were multiple areas of chipped paint located on the back wall and under the loft in the Frogs classroom. 2. There was paint peeling on the wall by the sink in the Tadpoles bathroom. 3. There were three loose paver stones in ?The Meadow? that were tripping hazards to the children. 4. There were rotting tree stumps with splintered wood located in ?The Meadow? accessible to children. 5. There was a hole in the grass of the ?The Meadow? creating a tripping hazard to the children. 6. There were loose, rotting tree stumps located in the ?Great Aunt Maple? area.”

8VAC20-780-160-C

“Based on record review and staff interview, staff members did not obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: 1. Staff #1?s most recent TB screening was dated 12/13/2019. 2. Staff #2?s most recent TB screening was dated 07/04/2020. 3. Staff #3?s most recent TB screening was dated 01/11/2020. 4. Staff #4?s most recent TB screening was dated 02/28/2019. 5. Staff #5 stated that the staff were asked to complete new TB screenings by 10/03/2022.”

8VAC20-780-330-E

“Based on observation and staff interview, sandboxes with bottoms which prevent drainage were not covered when not in use. Evidence: 1. The sandbox located in the ?Cherry Pink Space? had a tarp across the sand, but was not completely covered. The sandbox was not in use. 2. The sandbox box located in ?Toad Mountain? was not covered. The sandbox was not in use. 3. Staff #5 stated that the sandbox in ?Cherry Pink Space? and ?Toad Mountain? do not have a way to drain.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: In the Tadpoles bathroom, a spray bottle containing a bleach/water solution was located on an open shelf accessible to children.”

8VAC20-780-270-A Complaint related: Yes

“Based on observation and staff interview, areas and equipment of the center, outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was a rusty pipe located towards the center of the sandbox in the ?Cherry Pink Space.? 2. Staff #1 stated that there is a plan to cut down the pipe, add a rubber top and replenish the sandbox with more sand.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There were multiple areas of chipped paint located on the back wall and under the loft in the Frogs classroom. 2. There was paint peeling on the wall by the sink in the Tadpoles bathroom. 3. There were three loose paver stones in ?The Meadow? that were tripping hazards to the children. 4. There were rotting tree stumps with splintered wood located in ?The Meadow? accessible to children. 5. There was a hole in the grass of the ?The Meadow? creating a tripping hazard to the children. 6. There were loose, rotting tree stumps located in the ?Great Aunt Maple? area.”

8VAC20-780-160-C

“Based on record review and staff interview, staff members did not obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: 1. Staff #1?s most recent TB screening was dated 12/13/2019. 2. Staff #2?s most recent TB screening was dated 07/04/2020. 3. Staff #3?s most recent TB screening was dated 01/11/2020. 4. Staff #4?s most recent TB screening was dated 02/28/2019. 5. Staff #5 stated that the staff were asked to complete new TB screenings by 10/03/2022.”

8VAC20-780-330-E

“Based on observation and staff interview, sandboxes with bottoms which prevent drainage were not covered when not in use. Evidence: 1. The sandbox located in the ?Cherry Pink Space? had a tarp across the sand, but was not completely covered. The sandbox was not in use. 2. The sandbox box located in ?Toad Mountain? was not covered. The sandbox was not in use. 3. Staff #5 stated that the sandbox in ?Cherry Pink Space? and ?Toad Mountain? do not have a way to drain.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: In the Tadpoles bathroom, a spray bottle containing a bleach/water solution was located on an open shelf accessible to children.”

8VAC20-790-600-F

“Based on record review and interview, staff who work directly with children have not completed the departments preservice training and/or the health and safety update. Evidence: 1. Staff #1 (date of hire: 1/5/2021) record does not contain documentation of completing the preservice training or the health and safety update training. 2. Staff #3 (date of hire: 9/21/2020) record does not contain documentation of completing the preservice training. 3. Staff #4 (date of hire: 2/17/2021) record does not contain documentation of completing the preservice training or the health and safety update training. 4. Staff #5 (date of hire: 1/27/2020) record does not contain documentation of completing the health and safety update training.”

8VAC20-780-510-G

“Based on a review of medications, medication was not labeled with each child's name. Evidence: Child #1 has two emergency medications kept on site in case of a potential ingestion of an allergen. Neither medication was labeled with the child's name.”

8VAC20-780-550-E

“Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There is no documentation of shelter-in-place drills practiced in 2021. The program director confirmed that two shelter drills were not practiced.”

8VAC20-780-330-E

“Based on observation, sand boxes with bottoms were not covered when not in use. Evidence: There is a permanent structural sandbox in the playground that is raised off the ground. There was sand observed in the box with approximately four inches of water and weeds on top of the sand. The sandbox did not have a covered to be placed over it when not in sure.”

8VAC20-820-120-E-2

“Based on record review, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is posted at the facility is a subsidy inspection, dated 3/30/2021. The most recent inspection was 2/15/2022.”

8VAC20-780-280-B

“Based on observation, hazardous substances, such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of bleach cleaner was observed on an open shelf above the sink in the bullfrogs bathroom.”

8VAC20-780-270-A

“Based on observation, areas of the center were not kept in a clean, safe and operable condition. Evidence: 1. The green, metal hand railings that lead to the downstairs classrooms are covered in peeling paint and rust. The children were observed walking up and down the ramp with their hands on the railings. 2. Four bikes/trikes were observed to have missing handlebar covers, exposing the rusted metal ends of the handlebars. 3. A pink plastic bike was observed to have a broken seat with hard, jagged edges. 4. The cushioned seat of a balance bike was observed to be torn open, exposing the foam cushion.”

8VAC20-780-510-H

“Based on a review of medications, nonprescription medication was not kept in the original container. Evidence: Child #1 has one nonprescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.”

8VAC20-780-550-D

“Based on record review, the center has not implemented a monthly practice evacuation drill. Evidence: There is no documentation of evacuation drills being practiced during the months of January, October, November and December of 2021.”

8VAC20-780-60-A

“Based on record review, the center has not ensured that children's records were maintained and updated annually. Evidence: Child #2's record has not been updated since February 2021. Child #4's record has not been updated since June 2018.”

22.1-289.058

“Based on interview, teach building of the child day program is not equipped with at least one carbon monoxide detector. Evidence: The program director confirmed that both buildings that house parts of the child day program do not have carbon monoxide detectors installed.”

22.1-289.035-B-4

“Based on record review and interview, the child day program has not obtained the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which an individual has resided in the preceding five years. Evidence: Staff #4 documented on their sworn disclosure statement that they had resided in New York within the 5 years preceding employment with the licensee. The staff's record does not contain documentation of a New York sex offender registry check or a New York child abuse and neglect registry check. The program director confirmed that the out of state background checks have not been completed.”

8VAC20-780-510-P

“Based on a review of medications and authorizations, the center did not return or disposed of medications within 14 days of when the authorization to administer medication had expired. Evidence: Child #1's authorization to administer medication expired 10/11/2021. The medication was observed on site during today's inspection without an updated authorization.”

8VAC20-780-240-C

“Based on record review, orientation training has not included all required topics. Evidence: Staff #3 and Staff #4's records do not contain documentation of Recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia training.”

8VAC20-780-70

“Based on record review, staff records do not contain all required information. Evidence: 1. Staff #1 record does not contain documentation of two reference checks.”

8VAC20-780-60-A-8

“Based on a review of medications and interview, a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction has not been obtained for each child. Evidence: 1. Child #1 has a diagnosed food allergy and the allergy care plan on record is not signed by a physician or parent. 2. Child #2 has a diagnosed food allergy and there is no allergy care plan on record.”

8VAC20-790-600-F

“Based on record review and interview, staff who work directly with children have not completed the departments preservice training and/or the health and safety update. Evidence: 1. Staff #1 (date of hire: 1/5/2021) record does not contain documentation of completing the preservice training or the health and safety update training. 2. Staff #3 (date of hire: 9/21/2020) record does not contain documentation of completing the preservice training. 3. Staff #4 (date of hire: 2/17/2021) record does not contain documentation of completing the preservice training or the health and safety update training. 4. Staff #5 (date of hire: 1/27/2020) record does not contain documentation of completing the health and safety update training.”

8VAC20-780-510-G

“Based on a review of medications, medication was not labeled with each child's name. Evidence: Child #1 has two emergency medications kept on site in case of a potential ingestion of an allergen. Neither medication was labeled with the child's name.”

8VAC20-780-550-E

“Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There is no documentation of shelter-in-place drills practiced in 2021. The program director confirmed that two shelter drills were not practiced.”

8VAC20-780-330-E

“Based on observation, sand boxes with bottoms were not covered when not in use. Evidence: There is a permanent structural sandbox in the playground that is raised off the ground. There was sand observed in the box with approximately four inches of water and weeds on top of the sand. The sandbox did not have a covered to be placed over it when not in sure.”

8VAC20-820-120-E-2

“Based on record review, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is posted at the facility is a subsidy inspection, dated 3/30/2021. The most recent inspection was 2/15/2022.”

8VAC20-780-280-B

“Based on observation, hazardous substances, such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of bleach cleaner was observed on an open shelf above the sink in the bullfrogs bathroom.”

8VAC20-780-270-A

“Based on observation, areas of the center were not kept in a clean, safe and operable condition. Evidence: 1. The green, metal hand railings that lead to the downstairs classrooms are covered in peeling paint and rust. The children were observed walking up and down the ramp with their hands on the railings. 2. Four bikes/trikes were observed to have missing handlebar covers, exposing the rusted metal ends of the handlebars. 3. A pink plastic bike was observed to have a broken seat with hard, jagged edges. 4. The cushioned seat of a balance bike was observed to be torn open, exposing the foam cushion.”

8VAC20-780-510-H

“Based on a review of medications, nonprescription medication was not kept in the original container. Evidence: Child #1 has one nonprescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.”

8VAC20-780-550-D

“Based on record review, the center has not implemented a monthly practice evacuation drill. Evidence: There is no documentation of evacuation drills being practiced during the months of January, October, November and December of 2021.”

8VAC20-780-60-A

“Based on record review, the center has not ensured that children's records were maintained and updated annually. Evidence: Child #2's record has not been updated since February 2021. Child #4's record has not been updated since June 2018.”

22.1-289.058

“Based on interview, teach building of the child day program is not equipped with at least one carbon monoxide detector. Evidence: The program director confirmed that both buildings that house parts of the child day program do not have carbon monoxide detectors installed.”

22.1-289.035-B-4

“Based on record review and interview, the child day program has not obtained the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which an individual has resided in the preceding five years. Evidence: Staff #4 documented on their sworn disclosure statement that they had resided in New York within the 5 years preceding employment with the licensee. The staff's record does not contain documentation of a New York sex offender registry check or a New York child abuse and neglect registry check. The program director confirmed that the out of state background checks have not been completed.”

8VAC20-780-510-P

“Based on a review of medications and authorizations, the center did not return or disposed of medications within 14 days of when the authorization to administer medication had expired. Evidence: Child #1's authorization to administer medication expired 10/11/2021. The medication was observed on site during today's inspection without an updated authorization.”

8VAC20-780-240-C

“Based on record review, orientation training has not included all required topics. Evidence: Staff #3 and Staff #4's records do not contain documentation of Recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia training.”

8VAC20-780-70

“Based on record review, staff records do not contain all required information. Evidence: 1. Staff #1 record does not contain documentation of two reference checks.”

8VAC20-780-60-A-8

“Based on a review of medications and interview, a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction has not been obtained for each child. Evidence: 1. Child #1 has a diagnosed food allergy and the allergy care plan on record is not signed by a physician or parent. 2. Child #2 has a diagnosed food allergy and there is no allergy care plan on record.”

22VAC40-185-550-D

“Based on record review, the center has not maintained documentation of a monthly practice evacuation drill. Evidence: The log of fire drills submitted by the school Director does not contain documentation of a fire drill for the month of January 2020. The Director stated that those drills would have been conducted prior to their employment with the school and they cannot confirm if a drill was practiced.”

22VAC40-185-550-D

“Based on record review, the center has not maintained documentation of a monthly practice evacuation drill. Evidence: The log of fire drills submitted by the school Director does not contain documentation of a fire drill for the month of January 2020. The Director stated that those drills would have been conducted prior to their employment with the school and they cannot confirm if a drill was practiced.”